advanced nutrition exam IV Flashcards

1
Q

food sources of calcium

A

dairy

seafood WITH bones

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2
Q

main transport of calcium…

A

calcitrol (vitamin D)

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3
Q

diffusion of Ca

A

passive, nonsaturatable, nonregulated process

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4
Q

calcium transport

A

bound to proteins
complexed with sulfate, phosphate, etc
free in blood
protein bound in Ca in equilibrium w ionized Ca2+

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5
Q

how is extracellular ca2+ concentration regulated?

A

PTH
calcitonin
calcitrol

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6
Q

roles of parathyroid

A

increases serum Ca2+
decreases bone Ca2+
increases renal Ca2+ absorption
increases Ca2+ intestinal absorption

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7
Q

calcitrol roles

A

increases serum ca2+
works with PTH in bone Ca2+
increase renal ca absorption
increase intestinal ca absorption

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8
Q

calcitonin

A

decreases serum ca
increases bone ca
decreases renal ca absorption

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9
Q

nutrients the enhance calcium absorption

A

vitamin D
sugar + sugar alcohol
protein

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10
Q

nutrients that inhibit calcium absorption

A
fiber 
phytic
oxalic acid  
Zn + Mg 
unabsorbed FAs
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11
Q

osteoblasts

A

bone-building cells

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12
Q

osteoclasts

A

resorb bone

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13
Q

RDA Calcium 19-50

A

1000 mg/day

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14
Q

UL calcium

A

2500 mg/day

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15
Q

which foods contain up to 350 mg Ca per serving?

A

dairy, OJ [fortified], tofu, navy beans

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16
Q

nutrients enhancing urinary calcium excretion?

A

sodium
protein
caffeine

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17
Q

nutrients that may inhibit absorption of calcium

A

P
Fe
FAs

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18
Q

deficiency of calcium in adults leads to increased risk of….

A

osteoporosis

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19
Q

food sources of phosphorus

A

meat, poultry, fish, eggs, milk

cola drinks

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20
Q

absorption of phosphorus

A

saturable, carrier-mediated, AT

diffusion

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21
Q

which mineral in excess can inhibit phosphorous?

A

Ca

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22
Q

functions of phosphorus?

A
bone mineralization 
nucleic acid formation 
energy storage and transfer (ATP phosphate bonds)
phospholipids
acid-base balance
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23
Q

RDA phosphorus

A

19+ years = 700 mg/day

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24
Q

UL phosphorus 9-70

A

4g/day

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25
UL phosphorus > 70
3g/day
26
magnesium dietary sources
nuts, seeds, WG, green leafy vegetables, legumes, lentils, spices, dairy, hard tap h2o
27
absorption of magnesium
1. saturable, carrier-mediated, AT (low mg levels) | 2. diffusion passive, concentration dependent (higher mg levels)
28
magnesium regulation
crosses BB membrane w protein on enterocyte absorbed BETWEEN cells pumped across membrane by sodium-dep ATPase
29
which hormone affects Mg balance?
parathyroid
30
RDA magnesium 19-30 male
400 mg/day
31
RDA magnesium 19-30 female
310 mg/day
32
RDA mag pregnancy
350 mg/day
33
RDA mg 31+ male
400 mg/day
34
RDA mg 31+ female
320 mg/day
35
RDA mg 31+ pregnancy
360 mg/day
36
factors that contribute to mag deficiency
``` inadequate intake excess etoh use malabsorptive disorders medications uncontrolled DM + metabolic syndrome ```
37
what causes magnesium toxicity?
usually not dietary excess; KIDNEYS excrete Mg rapidly
38
UL mg
350 mg/day
39
functions of water in the body
``` chemical reactions body temp reg lubrication and protection solvent and transport medium maintenance of BV acid base balance ```
40
how much BW is intracellular
2/3 (28L)
41
how much BW is extracellular
1/3 (14L)
42
how much BW is interstitial?
11 L
43
how much BW is plasma/intravascular?
3L
44
AI water for females
2.7 L/day
45
AI water for males
3.7 L/day
46
water recommendation based on body weight numbers
25-40 mL/kg BW
47
which ion strongly affects h2o in ECF?
Na+
48
what force regulates movement between interstitial space and ECF?
osmotic pressure
49
what governs the movement across capillary walls and interstitial space?
hydrostatic and colloidal osmotic pressure
50
osmosis vs osmolarity
``` osmosis = movement of h2o -> semipermeable membrane in response to different solute concentrations osmolarity = solute particle concentration of a fluid ```
51
which ion is the major ion INSIDE the cells?
K+
52
which ion is the major ion OUTSIDE the cells [in ECF]
Na+
53
hyponatremia
diluted plasma concentration due to overconsumption of h2o
54
hypernatremia
diluted plasma concentration due to OVERconsumption of water
55
plasma solute concentrations list
high Na+ low K+ high Cl- low HCO3-
56
interstitial fluid concentrations list
high na+ low k high cl low hco3
57
intracellular fluid concentrations list
low na high k high po4-
58
which two hormones correct imbalances in body's fluid and sodium levels?
vasopressin | renin-angiotensis-aldosterone system
59
what does vasopressin respond to?
slight increases in ECF osmolarity
60
physiological responses to vasopressin
resorbption of h2o in kidneys stimulates thirst increases BP by vasoconstriction of arterioles
61
function of renin
enhances na and cl reabsorption